Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AVERA MCKENNAN

NPI: 1396945267 · SIOUX FALLS, SD 57110 · Hepatology Physician · NPI assigned 07/19/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PLACE, RONALD controls 20+ related entities in our dataset. Read more

$54K
Total Medicaid Paid
1,310
Total Claims
947
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPLACE, RONALD (CEO/PRESIDENT)
NPI Enumeration Date07/19/2007

Related Entities

Other providers sharing the same authorized official: PLACE, RONALD

ProviderCityStateTotal Paid
AVERA MCKENNAN SIOUX FALLS SD $6.68M
AVERA MCKENNAN SIOUX FALLS SD $5.34M
AVERA MCKENNAN SIOUX FALLS SD $4.07M
AVERA MCKENNAN SIOUX FALLS SD $3.71M
AVERA MCKENNAN SIOUX FALLS SD $3.24M
AVERA MCKENNAN SIOUX FALLS SD $1.04M
AVERA MCKENNAN SIOUX FALLS SD $1.03M
AVERA MCKENNAN SIOUX FALLS SD $902K
AVERA MCKENNAN MILBANK SD $899K
AVERA MCKENNAN SIOUX FALLS SD $815K
AVERA MCKENNAN SIOUX FALLS SD $758K
AVERA MCKENNAN SIOUX FALLS SD $545K
AVERA MCKENNAN SIOUX FALLS SD $318K
AVERA MCKENNAN ROCK RAPIDS IA $186K
AVERA MCKENNAN SIOUX FALLS SD $156K
AVERA MCKENNAN GREGORY SD $80K
AVERA MCKENNAN MITCHELL SD $70K
AVERA MCKENNAN SIOUX FALLS SD $68K
AVERA MCKENNAN SIOUX FALLS SD $54K
AVERA MCKENNAN FLANDREAU SD $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 421 $19K
2019 279 $11K
2020 52 $2K
2021 212 $8K
2022 86 $2K
2023 64 $3K
2024 196 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 673 561 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 343 294 $11K
99233 Prolong inpt eval add15 m 117 27 $7K
99232 Subsequent hospital care, per day, moderate complexity 160 51 $7K
99215 Prolong outpt/office vis 17 14 $1K